How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $20.89 Median $23.44 Typical High $43.65 | Facility | None | $20.89 | $23.44 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $43.65 | Professional | None | $20.89 | $23.44 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $31.62 Typical High $47.86 | Professional | None | $18.62 | $31.62 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $56.23 | Professional | None | $33.11 | $43.65 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $52.48 | Professional | None | $41.69 | $52.48 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $16.98 Median $38.02 Typical High $70.79 | Facility | None | $16.98 | $38.02 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $35.48 Typical High $40.74 | Professional | None | $14.79 | $35.48 | $40.74 |
Sentara Setting Facility Modifier None Typical Low $19.95 Median $26.30 Typical High $194.98 | Facility | None | $19.95 | $26.30 | $194.98 |
Sentara Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $53.70 | Professional | None | $34.67 | $38.90 | $53.70 |
United Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $616.60 | Facility | None | $251.19 | $275.42 | $616.60 |
United Setting Professional Modifier None Typical Low $16.98 Median $29.51 Typical High $48.98 | Professional | None | $16.98 | $29.51 | $48.98 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $11.75 Typical High $21.88 | Professional | 52 · Reduced service | $10.47 | $11.75 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.55 Typical High $6.46 | Professional | 55 · Aftercare only | $3.09 | $3.55 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.34 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.09 | $2.34 | $4.37 |
Where Virginia sits
The same service costs 2.6 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 29th of 51
$34.67
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.